| NPI | 1316606395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 25054) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 25054) |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2023-10-12 |